Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.38 / $6,251.00 / $11,581.00	Facility		$1,336.38	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $883.94 / $898.71 / $2,445.73	Professional		$883.94	$898.71	$2,445.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $8,450.20 / $15,206.26	Facility		$3,315.00	$8,450.20	$15,206.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.78 / $1,050.89 / $1,734.24	Professional		$746.78	$1,050.89	$1,734.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $852.80 / $1,023.36 / $1,599.00	Facility		$852.80	$1,023.36	$1,599.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $938.08 / $979.79 / $1,662.96	Professional		$938.08	$979.79	$1,662.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.81 / $1,193.92 / $1,836.83	Professional		$722.81	$1,193.92	$1,836.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $838.74 / $1,289.94 / $1,774.71	Professional		$838.74	$1,289.94	$1,774.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $904.39 / $1,286.48	Professional		$75.89	$904.39	$1,286.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $867.51 / $1,168.90 / $2,013.28	Professional		$867.51	$1,168.90	$2,013.28